Att 6_Discussion Guide (Interviews with Men)

Developing a Self-Management Tool for Individuals with Systemic Lupus Erythematosus (SLE)

Documents and Forms

Document Name Document Type
Att. 6. Discussion Guide for Use in Womens Focus Groups or Interviews with Men.docx Other-WORD

Information Collection (IC) Details

IC Title:	Att 6_Discussion Guide (Interviews with Men)	Agency IC Tracking Number:	15CO

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Att. 6. Discussion Guide for Use in Womens Focus Groups or Interviews with Men.docx		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.